Organization
PREMIUM US LAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA WALI (MANAGER)
(520) 339-9726
Entity
Organization
Contact information
Practice address
2443 W DETROIT PL, CHANDLER, AZ 85224-4127
(480) 531-3943
Mailing address
2443 W DETROIT PL, CHANDLER, AZ 85224-4127
(480) 531-3943
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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